Emergency Department Cluster High Utilizers
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Emergency Department Cluster High Utilizers
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Author : Luke Barrett
language : en
Publisher:
Release Date : 2018
Emergency Department Cluster High Utilizers written by Luke Barrett and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018 with categories.
The purpose of this research was to identify demographics of people who repeatedly have multiple emergency department visits over a short period of time, defined by this project as cluster high utilizers, and to draw attention to the impact of cluster high utilizers on health care systems. This research included retrospective hospital data organized by quantity of emergency department visits per week over a four-year period. The methods for data analysis included descriptive statistics focused on demographics and emergency department utilization for a sample of cluster high utilizers (n = 53). Cluster high utilizers in this research were most likely to be middle aged, homeless, white, male, have MediCal health insurance, not have a primary care provider, and visit the emergency department in the summer months. The results of this research indicate that cluster high utilizers represent an extremely small portion of the overall emergency department patient population (0.83%); however, they use the emergency department at significantly higher rates, in this study 2,644% more than the general patient population (N = 92,313). Further research is necessary to determine the causes of cluster high utilization and to design effective social work and emergency department interventions. Addressing this problem could prevent many unnecessary emergency department visits.
Emergency Department
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Author : Tina Kang-Lim
language : en
Publisher:
Release Date : 2015
Emergency Department written by Tina Kang-Lim and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015 with categories.
An Evidence Based Implementation Project On High Utilizers In The Emergency Department
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Author : Bernadette Martin Ruggles
language : en
Publisher:
Release Date : 2017
An Evidence Based Implementation Project On High Utilizers In The Emergency Department written by Bernadette Martin Ruggles and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017 with categories.
Abstract Challenges have been presented to the Emergency Department (ED) over the last several years as the dramatic rise in health insurance enrollment continues. Although, with the Republican bill, the American Health Care Act, changes to Medicaid may alter the health program leaving many uncertainties (Kaplan & Pear, 2017). Evidence reflects EDs are inundated with even more patients taking advantage of the availability of a one-stop shop for their care and treatment. Costs of ED services and resource allocation are rising as a result of these unnecessary visits contributing to a total healthcare expenditure of approximately 17.6% of the US Gross Domestic Product (GDP) (Horst, Martin, Gambler, & Coco, 2011). Various quality improvement measures have been implemented across the nation to reduce these costs such as the utilization of PreManage EDTM. The PreManage EDTM implementation pilot in Alameda County enables identification of patients frequently using ED services within a shared geographical region (Azar, Pressman, Oehmke, & Xu, 2017). This quality improvement project sought to educate the nursing staff, increasing their knowledge and awareness of PreManage EDTM, health care resources, and assisting the health care team to provide improved access for patients' non-urgent healthcare needs. Prior to the education, a pre and post survey obtained a direct correlation between assessment and knowledge as a result of the education which was reflected utilizing the Wilcoxon Signed-Ranks Test with a Z=278, p
Data Driven Approaches For Healthcare
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Author : Chengliang Yang
language : en
Publisher: CRC Press
Release Date : 2019-10-01
Data Driven Approaches For Healthcare written by Chengliang Yang and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-10-01 with Business & Economics categories.
Health care utilization routinely generates vast amounts of data from sources ranging from electronic medical records, insurance claims, vital signs, and patient-reported outcomes. Predicting health outcomes using data modeling approaches is an emerging field that can reveal important insights into disproportionate spending patterns. This book presents data driven methods, especially machine learning, for understanding and approaching the high utilizers problem, using the example of a large public insurance program. It describes important goals for data driven approaches from different aspects of the high utilizer problem, and identifies challenges uniquely posed by this problem. Key Features: Introduces basic elements of health care data, especially for administrative claims data, including disease code, procedure codes, and drug codes Provides tailored supervised and unsupervised machine learning approaches for understanding and predicting the high utilizers Presents descriptive data driven methods for the high utilizer population Identifies a best-fitting linear and tree-based regression model to account for patients’ acute and chronic condition loads and demographic characteristics
Value And Quality Innovations In Acute And Emergency Care
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Author : Jennifer L. Wiler
language : en
Publisher: Cambridge University Press
Release Date : 2017-03-21
Value And Quality Innovations In Acute And Emergency Care written by Jennifer L. Wiler and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-03-21 with Medical categories.
Access to acute and emergency care is essential when we are ill or injured, but the costs are significant. How can we make services more efficient and effective? This thought-provoking text provides twenty case studies detailing successful innovations to enhance value, including telehealth, observation medicine, high utilizer programs, and the use of informatics to improve clinical decision support. A detailed history of system developments over the last fifty years in the US and internationally is provided, and subjects including measurement and quality improvement, volume versus value based care, and emergency department crowding are discussed. This book is an ideal way for emergency physicians and healthcare managers to explore new ideas and enhance the quality of care in their area.
Data Driven Approaches For Healthcare
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Author : Chengliang Yang
language : en
Publisher: CRC Press
Release Date : 2019-10-01
Data Driven Approaches For Healthcare written by Chengliang Yang and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-10-01 with Business & Economics categories.
Health care utilization routinely generates vast amounts of data from sources ranging from electronic medical records, insurance claims, vital signs, and patient-reported outcomes. Predicting health outcomes using data modeling approaches is an emerging field that can reveal important insights into disproportionate spending patterns. This book presents data driven methods, especially machine learning, for understanding and approaching the high utilizers problem, using the example of a large public insurance program. It describes important goals for data driven approaches from different aspects of the high utilizer problem, and identifies challenges uniquely posed by this problem. Key Features: Introduces basic elements of health care data, especially for administrative claims data, including disease code, procedure codes, and drug codes Provides tailored supervised and unsupervised machine learning approaches for understanding and predicting the high utilizers Presents descriptive data driven methods for the high utilizer population Identifies a best-fitting linear and tree-based regression model to account for patients’ acute and chronic condition loads and demographic characteristics
Emergency Psychiatry
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Author : Tony Thrasher
language : en
Publisher: Oxford University Press
Release Date : 2023
Emergency Psychiatry written by Tony Thrasher and has been published by Oxford University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2023 with Medical categories.
Psychiatric emergencies are encountered throughout the practice of medicine, in many clinical settings. They may range from a patient expressing suicidal thoughts in an outpatient medical visit to an agitated, threatening patient with psychosis who is acutely intoxicated brought to the Emergency Department by ambulance. Decisions regarding admission, discharge, treatment, and referral are time-sensitive in the emergency setting or when acute safety issues are at stake. A broad knowledge of psychiatry and an understanding of potential medical etiologies of behavioral changes are important, as well as skills navigating what can be a complicated consultation relationship with the emergency department and challenging systems-based issues. In a time when emergency department visits continue to grow, resources for inpatient beds remain scarce and outpatient care can be difficult to access, the demand for psychiatric care and evaluation in the emergency setting is crucial. This volume, the 12th in the Primer On series, provides a straightforward approach to evaluating and managing common psychiatric emergencies. Blending case examples with up-to-date evidence-based approaches, this book serves as both a reference and introductory text for clinicians who are working in an emergency department or emergency consult setting.
Behavioral Emergencies An Issue Of Psychiatric Clinics Of North America
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Author : Nidal Moukaddam
language : en
Publisher: Elsevier Health Sciences
Release Date : 2017-08-19
Behavioral Emergencies An Issue Of Psychiatric Clinics Of North America written by Nidal Moukaddam and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-08-19 with Medical categories.
This issue of Psychiatric Clinics of North America, edited by Drs. Nidal Moukaddam, Veronica Tucci, will cover a wide arrange of topics in Behavioral Emergencies. Topics discussed in the issue include, but are not limited to: Medical Clearance of the Emergency Psychiatric Patient; Altered Mental State, Legal and Ethical Challenges in Emergency Psychiatry; Countertransference in the Clinical Setting; The Use of Psychotherapeutic Measures; Drugs of Abuse; Toxicological Emergencies in Patients With Mental Illness; Management of Depression and Suicidality in the Emergency Department; Special Considerations in the Pediatric Psychiatric Populations; Dementia and Special Considerations in the Geriatric Psychiatric Patient; The Changing Health Policy Environment and Behavioral Health Services Delivery; International Emergency Psychiatry Challenges; and Violence in the Emergency Department, among others.
Homeless High Users Of The Emergency Department
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Author : Kelsey McGuire
language : en
Publisher:
Release Date : 2017
Homeless High Users Of The Emergency Department written by Kelsey McGuire and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017 with categories.
Background: Patients who frequently use Emergency Department (ED) services are particularly vulnerable to poor health outcomes and have high healthcare costs. Homeless high users have particularly complex healthcare needs and increased difficulty in using and accessing healthcare. To determine modifiable targets for intervention, understanding patient perspectives on their healthcare service use must first occur; however, patient perspectives, especially those of homeless high users, have been absent from the literature. Aim: To describe the views of homeless high users of the ED about the influence of life experiences on their ED use. Methods: Researchers conducted in-depth, semi-structured interviews with 18 homeless persons with more than four ED visits in the six months prior to interview date. Interviews were audio recorded and transcribed verbatim for analysis in Dedoose by three coders. Qualitative analysis was performed in three phases--open, axial, and selective--to illuminate final themes. Quantitative data from medical records triangulated interview data and interviewer notes. Results: In describing the pattern of use by homeless high users, four domains emerged: a (1) crisis moment leads to increased ED use, which warrants an (2) intervention that (3) stabilizes patients for a period; (4) predisposing instability impacts both whether a crisis moment will occur and the degree to which a crisis moment impacts ED use. Conclusions: This work contributes to understanding the multitude of factors that impact ED use among the most vulnerable patients, which is the first step in elucidating promising interventions. Future interventions should consider expanding evidence-based case management programs. The next research step is to standardize a set of data socioeconomic data elements to determine which patients warrant intervention immediately after a crisis point rather than after ED use has drastically increased.
Issues In Critical And Emergency Medicine 2011 Edition
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Author :
language : en
Publisher: ScholarlyEditions
Release Date : 2012-01-09
Issues In Critical And Emergency Medicine 2011 Edition written by and has been published by ScholarlyEditions this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-01-09 with Medical categories.
Issues in Critical and Emergency Medicine / 2011 Edition is a ScholarlyEditions™ eBook that delivers timely, authoritative, and comprehensive information about Critical and Emergency Medicine. The editors have built Issues in Critical and Emergency Medicine: 2011 Edition on the vast information databases of ScholarlyNews.™ You can expect the information about Critical and Emergency Medicine in this eBook to be deeper than what you can access anywhere else, as well as consistently reliable, authoritative, informed, and relevant. The content of Issues in Critical and Emergency Medicine: 2011 Edition has been produced by the world’s leading scientists, engineers, analysts, research institutions, and companies. All of the content is from peer-reviewed sources, and all of it is written, assembled, and edited by the editors at ScholarlyEditions™ and available exclusively from us. You now have a source you can cite with authority, confidence, and credibility. More information is available at http://www.ScholarlyEditions.com/.